Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $82.85 / $186.82	Professional		$80.62	$82.85	$186.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $782.12 / $782.12	Facility		$100.00	$782.12	$782.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $133.37 / $190.61	Professional		$97.73	$133.37	$190.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $157.06 / $157.06	Facility		$157.06	$157.06	$157.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $157.06 / $157.06	Professional		$157.06	$157.06	$157.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $139.16 / $153.07	Professional		$75.00	$139.16	$153.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $165.69 / $189.90	Facility		$157.06	$165.69	$189.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $157.06 / $181.53	Professional		$144.21	$157.06	$181.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $175.35	Facility		$14.15	$14.15	$175.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $129.61 / $175.35	Professional		$12.96	$129.61	$175.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $152.47 / $152.47	Facility		$152.47	$152.47	$152.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.27 / $14.94	Professional		$12.27	$12.27	$14.94
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $82.57 / $140.40	Professional		$80.23	$82.57	$140.40